If yes, name of company responsible for extended service contract or warranty:

Information About the Transaction

How was initial contact made between you and the:

Where did the transaction take place?:

Details of Complaint

* Details:

Limit of 5000 characters

Resolution Attempts You Have Made

Have you contacted the company with your complaint?:

If yes, name of person most recently contacted:

His/her phone number, incl. area code:

Results:

* What resolution would you consider fair?:

Do you have an attorney in this case?:

If yes, name of your attorney:

Attorney’s number, incl. area code:

Has your complaint been heard or is it scheduled to be heard in court?:

If yes, where and when?:

If already heard, what was the result?:

Will you be submitting documentation by mail or fax?:

Enter security code:

Please attach up to four supporting documents in pdf, doc, docx or txt format. You may also mail supporting documents to us.

Attachment 1:

Upload:Upload file

Attachment 2:

Upload:Upload file

Attachment 3:

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Attachment 4:

Upload:Upload file

PLEASE NOTE: The maximum size of your submission is 15 Mb including the form and all attachments. If you receive an error that says "maximum request exceeded", you need to reduce the size of your attachments or contact Consumer Protection directly to provide the attachments.

Please print a copy of your completed form to mail in with any supporting documents and a copy for your records. Please note that the printed copy may not include all of the information included in the details of complaint box.

After you’ve completed the form and printed copies, please hit submit to send your complaint to the Consumer Protection Division.